CHECKLIST FOR FIRST SALARY CLAIM & PAYROLL INTEGRATION
NAME:
LAST NAME FIRST NAME MIDDLE NAME
Endorsement from Immediate Supervisor
Letter Request STATION CODE:
Photocopy of Appointment CIVIL STATUS:
Original Copy of Form 48 (DTR) BP NO:
(2 copies) Photocopy of BIR Form 1902 for new application of TIN, or Form TIN: - -
1905 for updates (FORMS ARE DOWNLOADABLE) PHILHEALTH:
(2 copies) Photocopy of MDR (PhilHealth) PAG-IBIG: - -
(2 copies) Photocopy of MDF (PAG-IBIG) ACCT NO. - -
(2 copies) Photocopy of ATM, (front only with signature specimen) CP NO.
Photocopy of SALN (Statement of Assets, Liabilities, & Net worth)
Photocopy of Oath of Office
(2 copies) Original/Photocopy of Certification as to 1st DAY OF SERVICE REVIEWED & CHECKED BY AO2: ________________________________
signed by the Immediate Supervisor DATE: _______________________
Photocopy of Assumption of Duty
Photocopy of Deployment Order REMARKS: ______________________________________
Photocopy of PDS (Personal Data Sheet)
Additional requirements:
Service Record (SR) IF Re-appointment/Re-employment/Transferee
(IF Transferee from Other Government Agency/Division within the same year:) * Please arrange in order according to the list
* BIR Form 2316 (Certificate of Compensation) * Make sure all entries are correct and avoid erasures
* Certificate of Last Payment
* Clearance
MATERNITY LEAVE PAY CHECKLIST
NAME:
LAST NAME FIRST NAME MIDDLE NAME
SCHOOL: _________________________________________________________________
Endorsement from Immediate Supervisor
Letter request
Approved Appointment (Photocopy) STATION CODE:
Birth Certificate or Medical Certificate (Form 41)
Approved SO. (Reinstatement) Date: ________________________
Approved Form 6 (Leave Form) REVIEWED & CHECKED BY AO2: ________________________________
Form 48 (DTR) Original Copy
Payslip or ATM photocopy (front only, with account number) Remarks: ______________________________
(Please submit in 1 copy, arrange and follow the order)
(Please make sure all entries are correct and avoid erasures)
MATERNITY LEAVE PAY CHECKLIST
NAME:
LAST NAME FIRST NAME MIDDLE NAME
SCHOOL: _________________________________________________________________
Letter request
Approved Appointment (Photocopy) STATION CODE:
Birth Certificate or Medical Certificate (Form 41)
Approved SO. (Reinstatement) Date: ________________________
Approved Form 6 (Leave Form) REVIEWED & CHECKED BY AO2: ________________________________
Form 48 (DTR) Original Copy
Payslip or ATM photocopy (front only, with account number) Remarks: ______________________________
(Please submit in 1 copy, arrange and follow the order)
(Please make sure all entries are correct and avoid erasures)
MATERNITY LEAVE PAY CHECKLIST
NAME:
LAST NAME FIRST NAME MIDDLE NAME
SCHOOL: _________________________________________________________________
Letter request
Approved Appointment (Photocopy) STATION CODE:
Birth Certificate or Medical Certificate (Form 41)
Approved SO. (Reinstatement) REVIEWED & CHECKED BY AO2: ________________________________
Approved Form 6 (Leave Form) Date: ________________________
Form 48 (DTR) Original Copy
Payslip or ATM photocopy (front only, with account number) Remarks: ______________________________
(Please submit in 1 copy, arrange and follow the order)
(Please make sure all entries are correct and avoid erasures)
MATERNITY LEAVE PAY CHECKLIST
NAME:
LAST NAME FIRST NAME MIDDLE NAME
SCHOOL: _________________________________________________________________
Letter request
Approved Appointment (Photocopy) STATION CODE:
Birth Certificate or Medical Certificate (Form 41)
Approved SO. (Reinstatement) REVIEWED & CHECKED BY AO2: ________________________________
Approved Form 6 (Leave Form) Date: ________________________
Form 48 (DTR) Original Copy
Payslip or ATM photocopy (front only, with account number) Remarks: ______________________________
(Please submit in 1 copy, arrange and follow the order)
(Please make sure all entries are correct and avoid erasures)
MATERNITY LEAVE PAY CHECKLIST
NAME:
LAST NAME FIRST NAME MIDDLE NAME
SCHOOL: _________________________________________________________________
Letter request
Approved Appointment (Photocopy) STATION CODE:
Birth Certificate or Medical Certificate (Form 41)
Approved SO. (Reinstatement) REVIEWED & CHECKED BY AO2: ________________________________
Approved Form 6 (Leave Form) Date: ________________________
Form 48 (DTR) Original Copy
Payslip or ATM photocopy (front only, with account number) Remarks: ______________________________
(Please submit in 1 copy, arrange and follow the order)
(Please make sure all entries are correct and avoid erasures)
CHECKLIST FOR CUT FROM PAYROLL
NAME:
LAST NAME FIRST NAME MIDDLE NAME
Letter Request STATION CODE:
Approved Appointment (PHOTOCOPY) BP NO:
Form 48 (DTR) Original Copy TIN: - -
Approved Reinstatement PHILHEALTH:
Approved Form 6 PAG-IBIG: - -
Approved S.O. Leave of Absence ACCT NO. - -
ATM, photocopy (front only) CP NO.
Payslip
(Please submit in 1 copy, arrange and follow the order) REVIEWED & CHECKED BY AO2: ________________________________
(Please make sure all entries are correct and avoid erasures) DATE: _______________________
REMARKS: ______________________________________
LAST PAYMENT - SALARY CLAIM FOR RETIREE
NAME:
LAST NAME FIRST NAME MIDDLE NAME
Letter Intent
DTR, Original copy (with attachement, Approved Form 6 if LEAVE WITH PAY)
Separation Order / Certificate of Last Payment
Certification of Closure of LBP Account
(Please prepare 1 set only of the requirements)